Why do we not use a condom, take medication, or practice withdrawal during each sexual encounter?

Patient's question:

We don't use condoms or take any medication, and we also don't practice withdrawal during sex every time we have intercourse, but why can't she get pregnant?

Doctor's answer:

??????If your menstrual cycle is regular, you can have an ultrasound examination to detect ovulation. The male should have a routine semen analysis. If ovulation is not detected, hormone six tests and thyroid function tests should be performed on the second to fourth day of the next menstrual period.

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